Use I-PASS to structure urgent-care shift handoffs with contingency planning.
Shift change Twelve patients are in motion, two results are pending, and one respiratory patient is a watcher. The handoff must transfer risk, not just status. I-PASS Illness severity -> Patient summary -> Action list -> Situation awareness -> Synthesis I-PASS works because it moves from patient status to owned next actions and then checks the receiver understanding. Weak "Anything else?" invites omissions. Open loops become named work. The handoff is done when the incoming team can state the risks, actions, and contingencies without prompting. 01 Severity 02 Actions 03 Try it Illness severity First fork
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